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Showing results for "medication errors".
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  1. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. | PSNet

    psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board
    March 27, 2019 - Study Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. Citation Text: Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient…

  2. Blood and blood products transfusion errors: what can we do to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/blood-and-blood-products-transfusion-errors-what-can-we-do-improve-patient-safety
    September 23, 2020 - Review Blood and blood products transfusion errors: what can we do to improve patient safety. Citation Text: Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326. Copy Cit…

  3. Quality improvement to decrease specimen mislabeling in transfusion medicine. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
    September 11, 2024 - Study Quality improvement to decrease specimen mislabeling in transfusion medicine. Citation Text: Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198. Copy Citation Format: Google S…

  4. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. | PSNet

    psnet.ahrq.gov/issue/trends-health-information-technology-safety-technology-induced-errors-current-approaches
    July 14, 2009 - Review Trends in health information technology safety: from technology-induced errors to current approaches for ensuring technology safety. Citation Text: Borycki EM. Trends in health information technology safety: from technology-induced errors to current approaches for ensuring techn…

  5. The cost of serious fall-related injuries at three midwestern hospitals. | PSNet

    psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
    January 03, 2017 - Study The cost of serious fall-related injuries at three midwestern hospitals. Citation Text: Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87. Copy Citation Format: …

  6. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. | PSNet

    psnet.ahrq.gov/issue/nursing-handovers-resilient-points-care-linking-handover-strategies-treatment-errors-patient
    August 30, 2017 - Study Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. Citation Text: Drach-Zahavy A, Hadid N. Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the p…

  7. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. | PSNet

    psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
    July 19, 2023 - Study Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile field. Citation Text: Brown-Brumfield D, DeLeon A. Adherence to a medication safety protocol: current practice for labeling medications and solutions on the sterile f…

  8. Work patterns and fatigue-related risk among junior doctors. | PSNet

    psnet.ahrq.gov/issue/work-patterns-and-fatigue-related-risk-among-junior-doctors
    July 29, 2020 - Study Work patterns and fatigue-related risk among junior doctors. Citation Text: Gander P, Purnell H, Garden A, et al. Work patterns and fatigue-related risk among junior doctors. Occup Environ Med. 2007;64(11):733-8. Copy Citation Format: Google Scholar PubMed BibTeX En…

  9. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. | PSNet

    psnet.ahrq.gov/issue/surgeon-perception-and-attitude-towards-moral-imperative-institutionally-addressing-second
    March 24, 2019 - Study Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in surgery. Citation Text: Hsiao L-H, Kopar PK. Surgeon perception and attitude towards the moral imperative of institutionally addressing second-victim syndrome in sur…

  10. Loud wake-up call: unlabeled containers lead to patient’s death. | PSNet

    psnet.ahrq.gov/issue/loud-wake-call-unlabeled-containers-lead-patients-death
    April 25, 2018 - Newspaper/Magazine Article Loud wake-up call: unlabeled containers lead to patient’s death. Citation Text: Loud wake-up call: unlabeled containers lead to patient’s death. ISMP Medication Safety Alert! Acute care edition. December 2, 2004. Copy Citation Save Save …

  11. Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/nursing-strategies-safeguard-covid-19-patients-harm-intensive-care-unit
    July 31, 2013 - highlighting implications on hospital-acquired infections, patient safety events (such as falls and medication … errors), and patient mental health .

  12. The Empty Bag | PSNet

    psnet.ahrq.gov/web-mm/empty-bag
    June 01, 2018 - DERS: (Dose Error Reduction Software/System): Technology designed to reduce the incidence of IV medication … error. … June 12, 2018 ISMP medication error report analysis.

  13. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/match/table-6.html
    August 01, 2012 - Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication … Error Classification Previous Page   Table of Contents Medications at Transitions

  14. Table 6: Categories of Medication Error Classification | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/patient-safety/settings/hospital/match/table-6.html
    August 01, 2012 - Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation Table 6: Categories of Medication … Error Classification Previous Page   Table of Contents Medications at Transitions

  15. Interpreting the Patient Safety Literature | PSNet

    psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
    June 01, 2005 - systems and greater participation of pharmacists in clinical activities may play roles in detecting medication … errors, not just reducing them. … Effect of computerized physician order entry and a team intervention on prevention of serious medication … errors. … Role of computerized physician order entry systems in facilitating medication errors.

  16. On Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-4
    September 21, 2022 - June 29, 2022 Medication errors in community pharmacies: evaluation of a standardized

  17. Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork? | PSNet

    psnet.ahrq.gov/issue/nurse-and-nurse-assistant-perceptions-missed-nursing-care-what-does-it-tell-us-about-teamwork
    January 23, 2012 - November 3, 2010 Why nurses make medication errors: a simulation study.

  18. Radiology reporting—where does the radiologist's duty end? | PSNet

    psnet.ahrq.gov/issue/radiology-reporting-where-does-radiologists-duty-end
    April 03, 2005 - February 3, 2021 Nurses' perceptions of causes of medication errors and barriers to reporting

  19. AHRQ presses on: no rule yet, but agency taps 10 safety organizations. | PSNet

    psnet.ahrq.gov/issue/ahrq-presses-no-rule-yet-agency-taps-10-safety-organizations
    February 08, 2010 - July 8, 2008 Automated drug dispensing system reduces medication errors in an intensive

  20. Quality and patient safety. Engaging your board to take the lead.  | PSNet

    psnet.ahrq.gov/issue/quality-and-patient-safety-engaging-your-board-take-lead
    April 21, 2015 - December 16, 2015 Medication errors affecting pediatric patients: unique challenges for
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